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Published Online First: 6 February 2006. doi:10.1136/jcp.2005.025809
Journal of Clinical Pathology 2006;59:645-654
Copyright © 2006 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

ORIGINAL ARTICLE

Comparative investigations of T cell receptor {gamma} gene rearrangements in frozen and formalin-fixed paraffin wax-embedded tissues by capillary electrophoresis

M Christensen, A D Funder, K Bendix and F B Soerensen

University Institute of Pathology, Århus University Hospital, Århus Hospital, Århus, Denmark

Correspondence to:
Correspondence to:
Dr Mariann Christensen
University Institute of Pathology, Århus University Hospital, Tage-Hansens Gade 2, DK-8000 Århus, Denmark; E-mail: lab10mc{at}as.aaa.dk

Aim: To compare clonal T cell receptor {gamma} (TCR{gamma}) gene rearrangements in frozen and formalin-fixed paraffin wax-embedded (FFPE) tissue, using capillary electrophoresis for use in diagnostics, as T cell lymphomas may be difficult to diagnose by conventional methods.

Methods: The DNA for PCR was extracted from frozen and FFPE tissue, cell lines and blood. PCR primers V{gamma}1-8, V{gamma}9, V{gamma}10 or V{gamma}11 (5' end labelled) combined with a mixture of J{gamma}P1/J{gamma}P/J{gamma}P2/J{gamma}2 (unlabelled) were used. Monoclonal cases were sequenced and clonality, reproducibility, sensitivity and specificity analyses were carried out.

Results: In all cases the molecular test was found to be in agreement with the histological diagnosis. Discrepancies were found between frozen and FFPE tissue in 18 of 56 (32%) tests. The method was highly reproducible. The sensitivity was found to be 0.5% for cell lines and 1% for patient specimens and the specificity 100%. The junctional region between the V{gamma} and J{gamma} segments was specific for each patient.

Conclusions: Capillary electrophoresis of PCR products from frozen and FFPE tissue is suitable for detecting clonal TCR{gamma} gene rearrangements. It is important, however, to correlate the results with conventional morphological and immunohistochemical studies.

Abbreviations: FFPE, formalin-fixed and paraffin wax-embedded; TCR{gamma}, T cell receptor {gamma}


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